title: Intensive care of the pediatric ventricular assist device patient.
abstract: Utilization of ventricular assist devices (VADs) in children is increasing, as is the complexity of patients supported. We review the intensive care management of pediatric patients with VAD in the perioperative and rehabilitation phases, highlighting the technical aspects and physiology of VADs which impact care. Indications for VAD placement and the preoperative assessment of risk are discussed. Specific aspects of postoperative and long-term care including device troubleshooting, hemostasis and anticoagulation, support of the right ventricle, incidence and prevention of neurologic injury, and other complications are reviewed.
authors.affiliation: Division of Pediatric Critical Care, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: Hehir
authors.forename: Robert A
authors.initials: RA
authors.lastname: Niebler
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Brabant
authors.forename: James S
authors.initials: JS
authors.lastname: Tweddell
authors.forename: Nancy S
authors.initials: NS
authors.lastname: Ghanayem
keywords: Ventricular assist device; congenital heart disease; intensive care; mechanical circulatory support; pediatrics